Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10680 | Date 18/02/2022 |
| Token No | SM/21-22/10290 25/02/2022 | Serial | 046 Last Visit: 18/05/2022 |
| Patient Name | Mrs. BABY RAJBHOR | Contact No | 8584900233 |
| Address | N N RAY STREET | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||